- Sharp HealthCare (San Diego, CA)
- …is responsible for the administration of the Sharp HealthCare's (SHC's) compliance audit program. The position provides oversight and maintenance of a high-quality, ... effective, best practices coding, billing, and reimbursement audit compliance program to prevent and detect violations of...risk analyzer software, OIG Work plan, CMS, PEPPER Reports, RAC Denials, industry experts, etc. + Policy and Procedure… more
- BD (Becton, Dickinson and Company) (San Diego, CA)
- …guidance and frameworks for software development in a healthcare IT environment. + ** Audit Oversight** : Oversee all internal and external audits, ensuring audit ... in Engineering, Life Sciences, Regulatory Affairs, or related field (Master's or RAC certification preferred). + 10+ years of progressive experience in Quality… more
- Actalent (Irvine, CA)
- …procedures to identify gaps, overlaps, and alignment opportunities for integration and audit readiness. + Support migrating documents into systems like Propel and ... + QMS awareness/knowledge. + Experience with post-market and change management. + RAC Certification (preferred). Work Environment The role is onsite 5 days a… more
- University of Southern California (Alhambra, CA)
- …ICD-10-CM, ICD-10-PCS, CPT/HCPCS, DRGs, APCs, and Modifiers-from Medicare, Medi-Cal, MAC, RAC , and commercial insurance companies -when there is refusal or rejection ... agency/contract HIM Coding Dept. coders who historically/previously met the ≥ 90% internal/external audit standards of the previously held USC Job Code. + Req Fire… more
- Parexel (Sacramento, CA)
- …and 510(j)(3) reporting through nextGen portals is a plus * Ensure audit readiness and version control through meticulous documentation and system management ... in Pharmaceutics, Biochemistry, Molecular Biology, Biotechnology, or Biology preferred * RAC certification is a plus Given the client's location, preference will… more